论文部分内容阅读
患者女,15岁。以“间断发热1年半,头痛10天,加重3天”为主诉入院。患者1年半前无明显诱因出现发热,体温最高达39℃,伴面部红斑,呈蝶形分布,无瘙痒,伴脱发,伴光过敏,双下肢青斑,伴双踝、双膝、双腕、双手多关节疼痛,无雷诺现象,于当地医院就诊,结合免疫学检查异常(具体不详)诊断为系统性红斑狼疮。按系统性红斑狼疮治疗后,体温控制可,关节疼痛好转,红斑消退。出院后规律服药,定期复查。10天前无明显诱因出现头痛(可忍受),伴恶
Female patient, 15 years old. To “intermittent fever for 1 year and a half, headache for 10 days, aggravating 3 days ” mainly for admission. A year and a half ago, there was no obvious incentive for fever, the body temperature of up to 39 ℃, with facial erythema, butterfly-shaped distribution, no itching, with hair loss, accompanied by light allergies, both lower extremities Blepharosa, with ankle, knees, , Hands and more joint pain, no Raynaud’s phenomenon, at a local hospital for treatment, combined with immunological abnormalities (specifically unknown) diagnosed with systemic lupus erythematosus. By systemic lupus erythematosus treatment, body temperature control can be, joint pain improved, erythema subsided. Regular discharge after discharge, regular review. 10 days ago there is no obvious incentive to headache (tolerable), with evil